Why is Cuba exporting its health care miracle to the world's poor?

[tj2001]

Oldie but goodie
http://yesmagazine.org/issues/latin-america-rising/1733

Cubans say they offer health care to the world's poor because they have big hearts. But what do they get in return? They live longer than almost anyone in Latin America. Far fewer babies die. Almost everyone has been vaccinated, and such scourges of the poor as parasites, TB, malaria, even HIV/AIDS are rare or non-existent. Anyone can see a doctor, at low cost, right in the neighborhood. The Cuban health care system is producing a population that is as healthy as those of the world's wealthiest countries at a fraction of the cost. And now Cuba has begun exporting its system to under-served communities around the world—including the United States...

Many elements of the health care system Cuba is exporting around the world are common-sense practices. Everyone has access to doctors, nurses, specialists, and medications. There is a doctor and nurse team in every neighborhood, although somewhat fewer now, with 29,000 medical professionals serving out of the country—a fact that is causing some complaints. If someone doesn't like their neighborhood doctor, they can choose another one.

House calls are routine, in part because it's the responsibility of the doctor and nurse team to understand you and your health issues in the context of your family, home, and neighborhood. This is key to the system. By catching diseases and health hazards before they get big, the Cuban medical system can spend a little on prevention rather than a lot later on to cure diseases, stop outbreaks, or cope with long-term disabilities. When a health hazard like dengue fever or malaria is identified, there is a coordinated nationwide effort to eradicate it. Cubans no longer suffer from diphtheria, rubella, polio, or measles and they have the lowest AIDS rate in the Americas, and the highest rate of treatment and control of hypertension.

For health issues beyond the capacity of the neighborhood doctor, polyclinics provide specialists, outpatient operations, physical therapy, rehabilitation, and labs. Those who need inpatient treatment can go to hospitals; at the end of their stay, their neighborhood medical team helps make the transition home. Doctors at all levels are trained to administer acupuncture, herbal cures, or other complementary practices that Cuban labs have found effective. And Cuban researchers develop their own vaccinations and treatments when medications aren't available due to the blockade, or when they don't exist.

[Dogmudgeon]

1. The hypertension control is amazing

Cubans are ethnically an admixture of three groups at extremely high risk for hypertension: blacks, indians, and "Moors" (Arab Spanish from southern Spain). They SHOULD have incredible levels of high blood pressure and stroke, but they don't.

--d!

[timeforpeace]

3. This was the actual reason for the revolution. Castro realized that communism made people relax, no

more rat race.

[RagAss]

2. Cool...how do I get my membership card?

[Vidar]

4. Great post. Thank you.